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Published in: Current Gastroenterology Reports 4/2016

01-04-2016 | Small Intestine (D Sachar, Section Editor)

Small Bowel Congenital Anomalies: a Review and Update

Authors: Grant Morris, Alfred Kennedy Jr., William Cochran

Published in: Current Gastroenterology Reports | Issue 4/2016

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Abstract

The small intestine is a complex organ system that is vital to the life of the individual. There are a number of congenital anomalies that occur and present most commonly in infancy; however, some may not present until adulthood. Most congenital anomalies of the small intestine will present with obstructive symptoms while some may present with vomiting, abdominal pain, and/or gastrointestinal bleeding. Various radiologic procedures can aid in the diagnosis of these lesions that vary depending on the particular anomaly. Definitive therapy for these congenial anomalies is surgical, and in some cases, surgery needs to be performed urgently. The overall prognosis of congenital anomalies of the small intestine is very good and has improved with improved medical management and the advent of newer surgical modalities. The congenital anomalies of the small intestine reviewed in this article include malrotation, Meckel’s diverticulum, duodenal web, duodenal atresia, jejunoileal atresia, and duplications.
Literature
1.
go back to reference Mall FP. Development of the human intestine and its position in the adult. Johns Hopkins Hospital Bulletin. 1898;9:197–208. Mall FP. Development of the human intestine and its position in the adult. Johns Hopkins Hospital Bulletin. 1898;9:197–208.
2.
6.
go back to reference Chesley PM, Melzer L, Bradford MC, Avansino JR. Association of anorectal malformation and intestinal malrotation. Am J Surg. 2015;209(5):907–12.CrossRefPubMed Chesley PM, Melzer L, Bradford MC, Avansino JR. Association of anorectal malformation and intestinal malrotation. Am J Surg. 2015;209(5):907–12.CrossRefPubMed
7.•
go back to reference Aboagye J, Goldstein SD, Salazar JH, Papandria D, Okoye MT, Al-Omar K, et al. Age at presentation of common pediatric surgical conditions: reexamining dogma. J Pediatr Surg. 2014;49:995–9. This article highlights the most common age of presentation for several pediatric surgical pathologies and includes graphics to convey this information. Aboagye J, Goldstein SD, Salazar JH, Papandria D, Okoye MT, Al-Omar K, et al. Age at presentation of common pediatric surgical conditions: reexamining dogma. J Pediatr Surg. 2014;49:995–9. This article highlights the most common age of presentation for several pediatric surgical pathologies and includes graphics to convey this information.
8.
go back to reference Durkin ET, Lund DP, Shaaban AF, Schurr MJ, Weber SM. Age-related differences in diagnosis and morbidity of intestinal malrotation. J Am Coll Surg. 2008;206(4):658–63.CrossRefPubMed Durkin ET, Lund DP, Shaaban AF, Schurr MJ, Weber SM. Age-related differences in diagnosis and morbidity of intestinal malrotation. J Am Coll Surg. 2008;206(4):658–63.CrossRefPubMed
10.
go back to reference Sizemore AW, Rabbani KZ, Ladd A, Applegate KE. Diagnostic performance of the upper gastrointestinal series in the evaluation of children with clinically suspected malrotation. Pediatr Radiol. 2008;38(5):518–28.CrossRefPubMed Sizemore AW, Rabbani KZ, Ladd A, Applegate KE. Diagnostic performance of the upper gastrointestinal series in the evaluation of children with clinically suspected malrotation. Pediatr Radiol. 2008;38(5):518–28.CrossRefPubMed
11.
go back to reference Lampl B, Levin TL, Berdon WE, Cowles RA. Malrotation and midgut volvulus: a historical review and current controversies in diagnosis and management. Pediatr Radiol. 2009;39(4):359–66.CrossRefPubMed Lampl B, Levin TL, Berdon WE, Cowles RA. Malrotation and midgut volvulus: a historical review and current controversies in diagnosis and management. Pediatr Radiol. 2009;39(4):359–66.CrossRefPubMed
12.
go back to reference Yousefzadeh DK, Kang L, Tessicini L. Assessment of retromesenteric position of the third portion of the duodenum: an US feasibility study in 33 newborns. Pediatr Radiol. 2010;40(9):1476–84.CrossRefPubMed Yousefzadeh DK, Kang L, Tessicini L. Assessment of retromesenteric position of the third portion of the duodenum: an US feasibility study in 33 newborns. Pediatr Radiol. 2010;40(9):1476–84.CrossRefPubMed
13.
go back to reference Esposito F, Vitale V, Noviello D, Di Serafino M, Vallone G, Salvatore M, et al. Ultrasonographic diagnosis of midgut volvulus with malrotation in children. J Pediatr Gastroenterol Nutr. 2014;59(6):786–8. Esposito F, Vitale V, Noviello D, Di Serafino M, Vallone G, Salvatore M, et al. Ultrasonographic diagnosis of midgut volvulus with malrotation in children. J Pediatr Gastroenterol Nutr. 2014;59(6):786–8.
14.
go back to reference Zhou LY, Li SR, Wang W, Shan QY, Pan FS, Liu JC, et al. Usefulness of sonography in evaluating children suspected of malrotation: comparison with an upper gastrointestinal contrast study. J Ultrasound Med. 2015;34(10):1825–32. Zhou LY, Li SR, Wang W, Shan QY, Pan FS, Liu JC, et al. Usefulness of sonography in evaluating children suspected of malrotation: comparison with an upper gastrointestinal contrast study. J Ultrasound Med. 2015;34(10):1825–32.
15.
go back to reference Taylor GA. CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation. Pediatr Radiol. 2011;41(11):1378–83.CrossRefPubMed Taylor GA. CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation. Pediatr Radiol. 2011;41(11):1378–83.CrossRefPubMed
16.
go back to reference Tackett JJ, Muise ED, Cowles RA. Malrotation: current strategies navigating the radiologic diagnosis of a surgical emergency. World J Radiol. 2014;6(9):730–6.CrossRefPubMedPubMedCentral Tackett JJ, Muise ED, Cowles RA. Malrotation: current strategies navigating the radiologic diagnosis of a surgical emergency. World J Radiol. 2014;6(9):730–6.CrossRefPubMedPubMedCentral
17.•
go back to reference Graziano K, Islam S, Dasgupta R, Lopez ME, Austin M, Chen LE, et al. Asymptomatic malrotation: diagnosis and surgical management. An American Pediatric Surgical Association outcomes and evidence based practice committee systematic review. J Pediatr Surg. 2015;50(10):1783–90. This article provides a great reference on how to approach and manage patients with asymptomatic malrotation. Graziano K, Islam S, Dasgupta R, Lopez ME, Austin M, Chen LE, et al. Asymptomatic malrotation: diagnosis and surgical management. An American Pediatric Surgical Association outcomes and evidence based practice committee systematic review. J Pediatr Surg. 2015;50(10):1783–90. This article provides a great reference on how to approach and manage patients with asymptomatic malrotation.
18.
go back to reference Ladd WE. Surgical diseases of the alimentary tract in infants. N Engl J Med. 1936;215:705–8.CrossRef Ladd WE. Surgical diseases of the alimentary tract in infants. N Engl J Med. 1936;215:705–8.CrossRef
19.
go back to reference Bass KD, Rothenberg SS, Chang JH. Laparoscopic Ladd’s procedure in infants with malrotation. J Pediatr Surg. 1998;33(2):279–81.CrossRefPubMed Bass KD, Rothenberg SS, Chang JH. Laparoscopic Ladd’s procedure in infants with malrotation. J Pediatr Surg. 1998;33(2):279–81.CrossRefPubMed
20.
go back to reference Draus Jr JM, Foley DS, Bond SJ. Laparoscopic Ladd procedure: a minimally invasive approach to malrotation without midgut volvulus. Am Surg. 2007;73(7):693–6.PubMed Draus Jr JM, Foley DS, Bond SJ. Laparoscopic Ladd procedure: a minimally invasive approach to malrotation without midgut volvulus. Am Surg. 2007;73(7):693–6.PubMed
21.
go back to reference Fraser JD, Aguayo P, Sharp SW, Ostlie DJ, St Peter SD. The role of laparoscopy in the management of malrotation. J Surg Res. 2009;156(1):80–2.CrossRefPubMed Fraser JD, Aguayo P, Sharp SW, Ostlie DJ, St Peter SD. The role of laparoscopy in the management of malrotation. J Surg Res. 2009;156(1):80–2.CrossRefPubMed
22.
go back to reference Ooms N, Matthyssens LE, Draaisma JM, de Blaauw I, Wijnen MH. Laparoscopic treatment of intestinal malrotation in children. Eur J Pediatr Surg. 2015. [Epub ahead of print]. Ooms N, Matthyssens LE, Draaisma JM, de Blaauw I, Wijnen MH. Laparoscopic treatment of intestinal malrotation in children. Eur J Pediatr Surg. 2015. [Epub ahead of print].
23.
go back to reference Miyano G, Fukuzawa H, Morita K, Kaneshiro M, Miyake H, Nouso H, et al. Laparoscopic repair of malrotation: what are the indications in neonates and children. J Laparoendosc Adv Surg Tech A. 2015;25(2):155–8. Miyano G, Fukuzawa H, Morita K, Kaneshiro M, Miyake H, Nouso H, et al. Laparoscopic repair of malrotation: what are the indications in neonates and children. J Laparoendosc Adv Surg Tech A. 2015;25(2):155–8.
24.
go back to reference Opitz JM, Schultka R, Gobbel L. Meckel on developmental pathology. Am J Med Genet A. 2006;140(2):115–28.CrossRefPubMed Opitz JM, Schultka R, Gobbel L. Meckel on developmental pathology. Am J Med Genet A. 2006;140(2):115–28.CrossRefPubMed
26.
go back to reference St-Vil D, Brandt ML, Panic S, Bensoussan AL, Blanchard H. Meckel’s diverticulum in children: a 20-year review. J Pediatr Surg. 1991;26(11):1289–92.CrossRefPubMed St-Vil D, Brandt ML, Panic S, Bensoussan AL, Blanchard H. Meckel’s diverticulum in children: a 20-year review. J Pediatr Surg. 1991;26(11):1289–92.CrossRefPubMed
27.
go back to reference Elsayes KM, Menias CO, Harvin HJ, Francis IR. Imaging manifestations of Meckel's diverticulum. AJR Am J Roentgenol. 2007;189(1):81–8.CrossRefPubMed Elsayes KM, Menias CO, Harvin HJ, Francis IR. Imaging manifestations of Meckel's diverticulum. AJR Am J Roentgenol. 2007;189(1):81–8.CrossRefPubMed
28.
go back to reference Hayashi A, Kumada T, Furukawa O, Nozaki F, Hiejima I, Shibata M, et al. Severe acute abdomen caused by symptomatic Meckel’s diverticulum in three children with trisomy 18. Am J Med Genet A. 2015;167A(10):2447–50. Hayashi A, Kumada T, Furukawa O, Nozaki F, Hiejima I, Shibata M, et al. Severe acute abdomen caused by symptomatic Meckel’s diverticulum in three children with trisomy 18. Am J Med Genet A. 2015;167A(10):2447–50.
29.
go back to reference Sinha CK, Pallewatte A, Easty M, De Coppi P, Pierro A, Misra D, et al. Meckel’s scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years. Pediatr Surg Int. 2013;29(5):511–7. Sinha CK, Pallewatte A, Easty M, De Coppi P, Pierro A, Misra D, et al. Meckel’s scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years. Pediatr Surg Int. 2013;29(5):511–7.
30.
go back to reference Lin S, Suhocki PV, Ludwig KA, Shetzline MA. Gastrointestinal bleeding in adult patients with Meckel’s diverticulum: the role of technetium 99m pertechnetate scan. South Med J. 2002;95(11):1338–41.CrossRefPubMed Lin S, Suhocki PV, Ludwig KA, Shetzline MA. Gastrointestinal bleeding in adult patients with Meckel’s diverticulum: the role of technetium 99m pertechnetate scan. South Med J. 2002;95(11):1338–41.CrossRefPubMed
31.
go back to reference Petrokubi RJ, Baum S, Rohrer GV. Cimetidine administration resulting in improved pertechnetate imaging of Meckel’s diverticulum. Clin Nucl Med. 1978;3(10):385–8.CrossRefPubMed Petrokubi RJ, Baum S, Rohrer GV. Cimetidine administration resulting in improved pertechnetate imaging of Meckel’s diverticulum. Clin Nucl Med. 1978;3(10):385–8.CrossRefPubMed
32.
go back to reference Rerksuppaphol S, Hutson JM, Oliver MR. Ranitidine-enhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel's diverticulum. Pediatr Surg Int. 2004;20(5):323–5.CrossRefPubMed Rerksuppaphol S, Hutson JM, Oliver MR. Ranitidine-enhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel's diverticulum. Pediatr Surg Int. 2004;20(5):323–5.CrossRefPubMed
33.
go back to reference Xinias I, Mavroudi A, Fotoulaki M, Tsikopoulos G, Kalampakas A, Imvrios G. Wireless capsule endoscopy detects Meckel’s diverticulum in a child with unexplained intestinal blood loss. Case Rep Gastroenterol. 2012;6(3):650–9.CrossRefPubMedPubMedCentral Xinias I, Mavroudi A, Fotoulaki M, Tsikopoulos G, Kalampakas A, Imvrios G. Wireless capsule endoscopy detects Meckel’s diverticulum in a child with unexplained intestinal blood loss. Case Rep Gastroenterol. 2012;6(3):650–9.CrossRefPubMedPubMedCentral
34.
go back to reference Desai SS, Alkhouri R, Baker SS. Identification of Meckel diverticulum by capsule endoscopy. J Pediatr Gastroenterol Nutr. 2012;54(2):161.CrossRefPubMed Desai SS, Alkhouri R, Baker SS. Identification of Meckel diverticulum by capsule endoscopy. J Pediatr Gastroenterol Nutr. 2012;54(2):161.CrossRefPubMed
35.
go back to reference Courcoutsakis N, Pitiakoudis M, Mimidis K, Vradelis S, Astrinakis E, Prassopoulos P. Capsule retention in a giant Meckel’s diverticulum containing multiple enteroliths. Endoscopy. 2011;43:E308–9.CrossRefPubMed Courcoutsakis N, Pitiakoudis M, Mimidis K, Vradelis S, Astrinakis E, Prassopoulos P. Capsule retention in a giant Meckel’s diverticulum containing multiple enteroliths. Endoscopy. 2011;43:E308–9.CrossRefPubMed
36.
go back to reference Qi S, Huang H, Wei D, Lv C, Yang Y. Diagnosis and minimally invasive surgical treatment of bleeding Meckel’s diverticulum in children using double-balloon enteroscopy. J Pediatr Surg. 2015;50(9):1610–2.CrossRefPubMed Qi S, Huang H, Wei D, Lv C, Yang Y. Diagnosis and minimally invasive surgical treatment of bleeding Meckel’s diverticulum in children using double-balloon enteroscopy. J Pediatr Surg. 2015;50(9):1610–2.CrossRefPubMed
37.
go back to reference Fukushima M, Kawanami C, Inoue S, Okada A, Imai Y, Inokuma T. A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis. BMC Gastroenterol. 2014;14:155.CrossRefPubMedPubMedCentral Fukushima M, Kawanami C, Inoue S, Okada A, Imai Y, Inokuma T. A case series of Meckel’s diverticulum: usefulness of double-balloon enteroscopy for diagnosis. BMC Gastroenterol. 2014;14:155.CrossRefPubMedPubMedCentral
38.
go back to reference Zheng CF, Huang Y, Tang ZF, Chen L, Leung YK. Double-balloon enteroscopy for the diagnosis of Meckel’s diverticulum in pediatric patients with obscure GI bleeding. Gastrointest Endosc. 2014;79(2):354–8.CrossRefPubMed Zheng CF, Huang Y, Tang ZF, Chen L, Leung YK. Double-balloon enteroscopy for the diagnosis of Meckel’s diverticulum in pediatric patients with obscure GI bleeding. Gastrointest Endosc. 2014;79(2):354–8.CrossRefPubMed
39.
go back to reference He Q, Zhang Y, Xiao B, Jiang B, Bai Y, Zhi F. Double-balloon enteroscopy for diagnosis of Meckel’s diverticulum: comparison with operative findings and capsule endoscopy. Surgery. 2013;153(4):549–54.CrossRefPubMed He Q, Zhang Y, Xiao B, Jiang B, Bai Y, Zhi F. Double-balloon enteroscopy for diagnosis of Meckel’s diverticulum: comparison with operative findings and capsule endoscopy. Surgery. 2013;153(4):549–54.CrossRefPubMed
40.
go back to reference Chan KW, Lee KH, Wong HY, Tsui SY, Wong YS, Pang KY, et al. Laparoscopic excision of Meckel’s diverticulum in children: what is the current evidence? World J Gastroenterol. 2014;20(41):15158–62. Chan KW, Lee KH, Wong HY, Tsui SY, Wong YS, Pang KY, et al. Laparoscopic excision of Meckel’s diverticulum in children: what is the current evidence? World J Gastroenterol. 2014;20(41):15158–62.
41.
go back to reference Zani A, Eaton S, Rees CM, Pierro A. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg. 2008;247(2):276–81.CrossRefPubMed Zani A, Eaton S, Rees CM, Pierro A. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg. 2008;247(2):276–81.CrossRefPubMed
42.
go back to reference Bani-Hani KE, Shatnawi NJ. Meckel’s diverticulum: comparison of incidental and symptomatic cases. World J Surg. 2004;28(9):917–20.CrossRefPubMed Bani-Hani KE, Shatnawi NJ. Meckel’s diverticulum: comparison of incidental and symptomatic cases. World J Surg. 2004;28(9):917–20.CrossRefPubMed
43.
go back to reference Soltero MJ, Bill AH. The natural history of Meckel’s diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel’s diverticulum found in King County, Washington, over a fifteen year period. Ann J Surg. 1976;132(2):168–73.CrossRef Soltero MJ, Bill AH. The natural history of Meckel’s diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel’s diverticulum found in King County, Washington, over a fifteen year period. Ann J Surg. 1976;132(2):168–73.CrossRef
44.
go back to reference Gezer, HO, Temiz A, Ince E, Ezer SS, Hasbay B, Hicsonmez A. Meckel diverticulum in children: evaluation of macroscopic appearance for guidance in subsequent surgery. J Pediatr Surg. 2015. [Epub ahead of print]. Gezer, HO, Temiz A, Ince E, Ezer SS, Hasbay B, Hicsonmez A. Meckel diverticulum in children: evaluation of macroscopic appearance for guidance in subsequent surgery. J Pediatr Surg. 2015. [Epub ahead of print].
45.
go back to reference Eksarko P, Nazir S, Kessler E, LeBlanc P, Zeidman M, Asarian AP, et al. Duodenal web associated with malrotation and review of literature. J Surg Case Rep. 2013;2013(12). Eksarko P, Nazir S, Kessler E, LeBlanc P, Zeidman M, Asarian AP, et al. Duodenal web associated with malrotation and review of literature. J Surg Case Rep. 2013;2013(12).
48.
go back to reference Beeks A, Gosche J, Giles H, Nowicki M. Endoscopic dilation and partial resection of a duodenal web in an infant. J Pediatr Gastroenterol Nutr. 2009;48(3):378–81.CrossRefPubMed Beeks A, Gosche J, Giles H, Nowicki M. Endoscopic dilation and partial resection of a duodenal web in an infant. J Pediatr Gastroenterol Nutr. 2009;48(3):378–81.CrossRefPubMed
49.
go back to reference Serracino-Inglott F, Smith GH, Anderson DN. Duodenal webs—no age limit. HBO (Oxford). 2003;5(3):186–7. Serracino-Inglott F, Smith GH, Anderson DN. Duodenal webs—no age limit. HBO (Oxford). 2003;5(3):186–7.
50.
go back to reference Rha SE, Lee JH, Lee SY, Park SM. Duodenal diaphragm associated with long-term use of nonsteroidal anti-inflammatory drugs: a rare cause of duodenal obstruction in an adult. AJR Am J Roentgenol. 2000;175(3):920–1.CrossRefPubMed Rha SE, Lee JH, Lee SY, Park SM. Duodenal diaphragm associated with long-term use of nonsteroidal anti-inflammatory drugs: a rare cause of duodenal obstruction in an adult. AJR Am J Roentgenol. 2000;175(3):920–1.CrossRefPubMed
51.
go back to reference Lee SS, Hwang ST, Jang NG, Tchah H, Choi DY, Kim HY, et al. A case of congenital duodenal web causing duodenal stenosis in a down syndrome child: endoscopic resection with an insulated-tip knife. Gut Liver. 2011;5(1):105–9. Lee SS, Hwang ST, Jang NG, Tchah H, Choi DY, Kim HY, et al. A case of congenital duodenal web causing duodenal stenosis in a down syndrome child: endoscopic resection with an insulated-tip knife. Gut Liver. 2011;5(1):105–9.
52.
go back to reference Karnsakul W, Gillespie S, Cannon ML, Kumar T. Food refusal as an unusual presentation in a toddler with duodenal web. Clin Pediatr (Phila). 2009;48(1):81–3.CrossRef Karnsakul W, Gillespie S, Cannon ML, Kumar T. Food refusal as an unusual presentation in a toddler with duodenal web. Clin Pediatr (Phila). 2009;48(1):81–3.CrossRef
53.
go back to reference Nagpal R, Schnaufer L, Altschuler SM. Duodenal web presenting with gastrointestinal bleeding in a seven-month-old infant. J Pediatr Gastroenterol Nutri. 1993;16(1):90–2.CrossRef Nagpal R, Schnaufer L, Altschuler SM. Duodenal web presenting with gastrointestinal bleeding in a seven-month-old infant. J Pediatr Gastroenterol Nutri. 1993;16(1):90–2.CrossRef
54.
go back to reference Al Shahwani N, Mandhan P, Elkadhi A, Ali MJ, Latif A. Congenital duodenal obstruction associated with Down’s syndrome presenting with hematemesis. J Surg Case Rep. 2013;2013(12). Al Shahwani N, Mandhan P, Elkadhi A, Ali MJ, Latif A. Congenital duodenal obstruction associated with Down’s syndrome presenting with hematemesis. J Surg Case Rep. 2013;2013(12).
55.
56.
go back to reference Sarkar S, Apte A, Sarkar N, Sarker D, Longia S. Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web. BMJ Case Rep. 2011. Sarkar S, Apte A, Sarkar N, Sarker D, Longia S. Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web. BMJ Case Rep. 2011.
58.
go back to reference Sarin YK, Sharma A, Sinha S, Deshpande VP. Duodenal webs: an experience with 18 patients. J Neonatal Surg. 2012;1(2):20.PubMedPubMedCentral Sarin YK, Sharma A, Sinha S, Deshpande VP. Duodenal webs: an experience with 18 patients. J Neonatal Surg. 2012;1(2):20.PubMedPubMedCentral
59.
go back to reference Jensen AR, Short SS, Anselmo DM, Torres MB, Frykman OK Shin CE, et al. Laparoscopic verses open treatment of congenital duodenal obstruction: multicenter short-term outcomes analysis. J Laparoendosc Adv Surg Tech A. 2013;23(10):876–80. Jensen AR, Short SS, Anselmo DM, Torres MB, Frykman OK Shin CE, et al. Laparoscopic verses open treatment of congenital duodenal obstruction: multicenter short-term outcomes analysis. J Laparoendosc Adv Surg Tech A. 2013;23(10):876–80.
60.
go back to reference Spilde TL, St. Peter SD, Keckler SJ, Holcomb 3rd GW, Snyder CL, Ostlie DJ. Open vs laparoscopic repair of congenital duodenal obstructions: a concurrent series. J Pediatr Surg. 2008;43(6):1002–5.CrossRefPubMed Spilde TL, St. Peter SD, Keckler SJ, Holcomb 3rd GW, Snyder CL, Ostlie DJ. Open vs laparoscopic repair of congenital duodenal obstructions: a concurrent series. J Pediatr Surg. 2008;43(6):1002–5.CrossRefPubMed
61.
go back to reference Parmentier B, Peycelon M, Muller CO, El Ghoneimi A, Bonnard A. Laparoscopic management of congenital duodenal atresia or stenosis. A single-center early experience. J Pediatr Surg. 2015;50(11):1833–6.CrossRefPubMed Parmentier B, Peycelon M, Muller CO, El Ghoneimi A, Bonnard A. Laparoscopic management of congenital duodenal atresia or stenosis. A single-center early experience. J Pediatr Surg. 2015;50(11):1833–6.CrossRefPubMed
62.
go back to reference Barabino A, Gandullia P, Arrigo S, Vignola S, Mattioli G, Grattarola C. Successful endoscopic treatment of a double duodenal web in an infant. Gastrointest Endosc. 2011;73(2):401–3.CrossRefPubMed Barabino A, Gandullia P, Arrigo S, Vignola S, Mattioli G, Grattarola C. Successful endoscopic treatment of a double duodenal web in an infant. Gastrointest Endosc. 2011;73(2):401–3.CrossRefPubMed
63.
go back to reference Barabino A, Arrigo S, Gandullia P, Vignola A. Duodenal web: complications and failure of endoscopic treatment. Gastrointest Endosc. 2012;75(5):1123–4.CrossRefPubMed Barabino A, Arrigo S, Gandullia P, Vignola A. Duodenal web: complications and failure of endoscopic treatment. Gastrointest Endosc. 2012;75(5):1123–4.CrossRefPubMed
64.
go back to reference Bleve C, Costa L, Bertoncello V, Ferrara F, Zolpi E, Chiarenza SF. Endoscopic resection of a duodenal web in an 11-month-old infant with multiple malformations. Endoscopy. 2015;47(S ssye):E210–1.PubMed Bleve C, Costa L, Bertoncello V, Ferrara F, Zolpi E, Chiarenza SF. Endoscopic resection of a duodenal web in an 11-month-old infant with multiple malformations. Endoscopy. 2015;47(S ssye):E210–1.PubMed
65.
go back to reference Huang MH, Bian HQ, Liang C, Wei WQ, Duan XF, Yang J. Gastroscopic treatment of membranous duodenal stenosis in infants and children: report of 6 cases. J Pediatr Surg. 2015;50(3):413–6.CrossRefPubMed Huang MH, Bian HQ, Liang C, Wei WQ, Duan XF, Yang J. Gastroscopic treatment of membranous duodenal stenosis in infants and children: report of 6 cases. J Pediatr Surg. 2015;50(3):413–6.CrossRefPubMed
66.
go back to reference Kay GA, Lobe TE, Custer MD, Hollabaugh RS. Endoscopic laser ablation of obstructing congenital duodenal webs in the newborn: a case report of limited success with criteria for patient selection. J Pediatr Surg. 1992;27(3):279–81.CrossRefPubMed Kay GA, Lobe TE, Custer MD, Hollabaugh RS. Endoscopic laser ablation of obstructing congenital duodenal webs in the newborn: a case report of limited success with criteria for patient selection. J Pediatr Surg. 1992;27(3):279–81.CrossRefPubMed
67.
go back to reference Kay S, Yoder S, Rothenberg S. Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg. 2009;44(5):906–8.CrossRefPubMed Kay S, Yoder S, Rothenberg S. Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg. 2009;44(5):906–8.CrossRefPubMed
68.
go back to reference Torroni F, De Angelis P, Caldaro T, di Abriola GF, Ponticelli A, Bergami G, et al. Endoscopic membranectomy of duodenal diaphragm: pediatric experience. Gastrointest Endosc. 2006;63(3):530–1. Torroni F, De Angelis P, Caldaro T, di Abriola GF, Ponticelli A, Bergami G, et al. Endoscopic membranectomy of duodenal diaphragm: pediatric experience. Gastrointest Endosc. 2006;63(3):530–1.
69.
go back to reference Escobar MA, Ladd AP, Grosfeld JL, West KW, Rescorla FJ, Scherer LR 3rd, et al. Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg. 2004;39(6):867–71. Escobar MA, Ladd AP, Grosfeld JL, West KW, Rescorla FJ, Scherer LR 3rd, et al. Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg. 2004;39(6):867–71.
70.
go back to reference Best KE, Tennant PW, Addor MC, Bianchi F, Boyd P, Calzolari E, et al. Epidemiology of small intestinal atresia in Europe: a register-based study. Arch Dis Child Fetal Neonatal Ed. 2012;97(5):F353–8. Best KE, Tennant PW, Addor MC, Bianchi F, Boyd P, Calzolari E, et al. Epidemiology of small intestinal atresia in Europe: a register-based study. Arch Dis Child Fetal Neonatal Ed. 2012;97(5):F353–8.
71.
go back to reference Grosfeld JL, Ballantine TV, Shoemaker R. Operative management of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg. 1979;14(3):368–75.CrossRefPubMed Grosfeld JL, Ballantine TV, Shoemaker R. Operative management of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg. 1979;14(3):368–75.CrossRefPubMed
73.
go back to reference Freeman SB, Torfs CP, Romitti PA, Royle MH, Druschel C, Hobbs CA, et al. Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects. Clin Genet. 2009;75(2):180–4. Freeman SB, Torfs CP, Romitti PA, Royle MH, Druschel C, Hobbs CA, et al. Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects. Clin Genet. 2009;75(2):180–4.
74.
go back to reference Brantberg A, Blaas HG, Salvesen KA, Haugen SE, Mollerlokken G, Eik-Nes SH. Fetal duodenal obstructions: increased risk of prenatal sudden death. Ultrasound Obstet Gynecol. 2002;20(5):439–46.CrossRefPubMed Brantberg A, Blaas HG, Salvesen KA, Haugen SE, Mollerlokken G, Eik-Nes SH. Fetal duodenal obstructions: increased risk of prenatal sudden death. Ultrasound Obstet Gynecol. 2002;20(5):439–46.CrossRefPubMed
75.
go back to reference Pauer HU, Viereck V, Krauss V, Osmers R, Krauss T. Incidence of fetal malformations in pregnancies complicated by oligo- and polyhydramnios. Arch Gynecol Obstet. 2003;268(1):52–6.PubMed Pauer HU, Viereck V, Krauss V, Osmers R, Krauss T. Incidence of fetal malformations in pregnancies complicated by oligo- and polyhydramnios. Arch Gynecol Obstet. 2003;268(1):52–6.PubMed
76.
go back to reference Correia-Pinto J, Ribeiro A. Congenital duodenal obstruction and double-bubble sign. N Engl J Med. 2014;371(11), e16.CrossRefPubMed Correia-Pinto J, Ribeiro A. Congenital duodenal obstruction and double-bubble sign. N Engl J Med. 2014;371(11), e16.CrossRefPubMed
77.
go back to reference Laya BF, Andres MM, Conception NDP, Dizon RH. Patterns of microcolon: imaging strategies for diagnosis of lower intestinal obstruction in neonates. J Am Osteopath Coll Radiol. 2015;4(1):1–11. Laya BF, Andres MM, Conception NDP, Dizon RH. Patterns of microcolon: imaging strategies for diagnosis of lower intestinal obstruction in neonates. J Am Osteopath Coll Radiol. 2015;4(1):1–11.
79.
go back to reference Son TN, Liem NT, Kien HH. Laparoscopic simple oblique duodenoduodenostomy in management of congenital duodenal obstruction in children. J Laparoendosc Adv Surg Tech A. 2015;25(2):163–6.CrossRefPubMed Son TN, Liem NT, Kien HH. Laparoscopic simple oblique duodenoduodenostomy in management of congenital duodenal obstruction in children. J Laparoendosc Adv Surg Tech A. 2015;25(2):163–6.CrossRefPubMed
81.
go back to reference Bairdain S, Yu DC, Lien C, Khan FA, Pathak B, Grabowski MJ, et al. A modern cohort of duodenal obstruction patients: predictors of delayed transition to full enteral nutrition. J Nutr Metab. 2014. Bairdain S, Yu DC, Lien C, Khan FA, Pathak B, Grabowski MJ, et al. A modern cohort of duodenal obstruction patients: predictors of delayed transition to full enteral nutrition. J Nutr Metab. 2014.
82.
go back to reference Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA. Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg. 1998;133(5):490–6.CrossRefPubMed Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA. Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg. 1998;133(5):490–6.CrossRefPubMed
83.
go back to reference Piper HG, Alesbury J, Waterford SD, Zurakowski D, Jaksic T. Intestinal atresias: factors affecting clinical outcomes. J Pediatr Surg. 2008;43(7):1244–8.CrossRefPubMed Piper HG, Alesbury J, Waterford SD, Zurakowski D, Jaksic T. Intestinal atresias: factors affecting clinical outcomes. J Pediatr Surg. 2008;43(7):1244–8.CrossRefPubMed
84.
85.
go back to reference Louw JH, Barnard CN. Congenital intestinal atresia; observations on its origin. Lancet. 1955;269(6899):1065–7.CrossRefPubMed Louw JH, Barnard CN. Congenital intestinal atresia; observations on its origin. Lancet. 1955;269(6899):1065–7.CrossRefPubMed
86.
go back to reference Werler MM, Sheehan JE, Mitchell AA. Maternal medication use and risks of gastroschisis and small intestinal atresia. Am J Epidemiol. 2002;155(1):26–31.CrossRefPubMed Werler MM, Sheehan JE, Mitchell AA. Maternal medication use and risks of gastroschisis and small intestinal atresia. Am J Epidemiol. 2002;155(1):26–31.CrossRefPubMed
87.
go back to reference Guttman FM, Braun P, Garance PH, Blanchard H, Collin PP, Dallaire L, et al. Multiple atresias and a new syndrome of hereditary multiple atresias involving the gastrointestinal tract from stomach to rectum. J Pediatr Surg. 1973;8(5):633–40. Guttman FM, Braun P, Garance PH, Blanchard H, Collin PP, Dallaire L, et al. Multiple atresias and a new syndrome of hereditary multiple atresias involving the gastrointestinal tract from stomach to rectum. J Pediatr Surg. 1973;8(5):633–40.
88.
go back to reference Fernandez I, Patey N, Marchand V, Birles M, Maranda B, Haddad E, et al. Multiple intestinal atresia with combined immune deficiency related to TTC7A defect is a multiorgan pathology: study of a French-Canadian-based cohort. Medicine (Baltimore). 2014;93(29), e327. Fernandez I, Patey N, Marchand V, Birles M, Maranda B, Haddad E, et al. Multiple intestinal atresia with combined immune deficiency related to TTC7A defect is a multiorgan pathology: study of a French-Canadian-based cohort. Medicine (Baltimore). 2014;93(29), e327.
89.
go back to reference Avitzur Y, Guo C, Mastropaolo LA, Bahrami E, Chen H, Zhao Z, et al. Mutations in tetratricopeptide repeat domain 7A result in a severe form of very early onset inflammatory bowel disease. Gastroenterology. 2014;146(4):1028–39. Avitzur Y, Guo C, Mastropaolo LA, Bahrami E, Chen H, Zhao Z, et al. Mutations in tetratricopeptide repeat domain 7A result in a severe form of very early onset inflammatory bowel disease. Gastroenterology. 2014;146(4):1028–39.
91.
go back to reference Vinocur DN, Lee EY, Eisenberg RL. Neonatal intestinal obstruction. AJR Am J Roentgenol. 2012;198(1):W1–10.CrossRefPubMed Vinocur DN, Lee EY, Eisenberg RL. Neonatal intestinal obstruction. AJR Am J Roentgenol. 2012;198(1):W1–10.CrossRefPubMed
92.
93.
go back to reference Tajiri T, Ieiri S, Kinoshita Y, Masumoto K, Nishimoto Y, Taguchi T. Transumbilical approach for neonatal surgical diseases: woundless operation. Pediatr Surg Int. 2008;24(10):1123–6.CrossRefPubMed Tajiri T, Ieiri S, Kinoshita Y, Masumoto K, Nishimoto Y, Taguchi T. Transumbilical approach for neonatal surgical diseases: woundless operation. Pediatr Surg Int. 2008;24(10):1123–6.CrossRefPubMed
94.
go back to reference Wang J, Du L, Cai W, Pan W, Yan W. Prolonged feeding difficulties after surgical correction on intestinal atresia: a 13-year experience. J Pediatr Surg. 2014;49(11):1593–7.CrossRefPubMed Wang J, Du L, Cai W, Pan W, Yan W. Prolonged feeding difficulties after surgical correction on intestinal atresia: a 13-year experience. J Pediatr Surg. 2014;49(11):1593–7.CrossRefPubMed
95.
go back to reference Federici S, Sabatino MD, Domenichelli V, Straziuso S. Worst prognosis in the “complex” jejunoileal atresia: is it real? European J Pediatr Surg Rep. 2015;3(1):7–11.PubMedPubMedCentral Federici S, Sabatino MD, Domenichelli V, Straziuso S. Worst prognosis in the “complex” jejunoileal atresia: is it real? European J Pediatr Surg Rep. 2015;3(1):7–11.PubMedPubMedCentral
96.
go back to reference Calisti A, Olivieri C, Coletta R, Briganti V, Oriolo L, Giannino G. Jejunoileal atresia: factors affecting the outcome and long-term sequelae. J Clin Neonatol. 2012;1(1):38–41.CrossRefPubMedPubMedCentral Calisti A, Olivieri C, Coletta R, Briganti V, Oriolo L, Giannino G. Jejunoileal atresia: factors affecting the outcome and long-term sequelae. J Clin Neonatol. 2012;1(1):38–41.CrossRefPubMedPubMedCentral
97.
go back to reference Wilmore DW. Factors correlating with a successful outcome following extensive intestinal resection in newborn infants. J Pediatr. 1972;80(1):88–95.CrossRefPubMed Wilmore DW. Factors correlating with a successful outcome following extensive intestinal resection in newborn infants. J Pediatr. 1972;80(1):88–95.CrossRefPubMed
98.
go back to reference Thompson JS, Rochling FA, Weseman RA, Mercer DF. Current management of short bowel syndrome. Curr Probl Surg. 2012;49(2):52–115.CrossRefPubMed Thompson JS, Rochling FA, Weseman RA, Mercer DF. Current management of short bowel syndrome. Curr Probl Surg. 2012;49(2):52–115.CrossRefPubMed
99.
go back to reference Infantino BJ, Mercer DF, Hobson BD, Fischer RT, Gerhardt BK, Grant WJ, et al. Successful rehabilitation in pediatric ultrashort small bowel syndrome. J Pediatr. 2013;163(5):1361–6. Infantino BJ, Mercer DF, Hobson BD, Fischer RT, Gerhardt BK, Grant WJ, et al. Successful rehabilitation in pediatric ultrashort small bowel syndrome. J Pediatr. 2013;163(5):1361–6.
100.
go back to reference Squires RH, Duggan C, Teitelbaum DH, Wales PW, Balint J, Venick R, et al . Natural history of pediatric intestinal failure: initial report from the pediatric intestinal failure consortium. J Pediatr. 2012;161(4):723–8. Squires RH, Duggan C, Teitelbaum DH, Wales PW, Balint J, Venick R, et al . Natural history of pediatric intestinal failure: initial report from the pediatric intestinal failure consortium. J Pediatr. 2012;161(4):723–8.
101.
go back to reference Tsai SD, Sopha SC, Fishman EK. Isolated duodenal duplication cyst presenting as a complex solid and cystic mass in the upper abdomen. J Radiol Case Rep. 2013;7(11):32–7.PubMedPubMedCentral Tsai SD, Sopha SC, Fishman EK. Isolated duodenal duplication cyst presenting as a complex solid and cystic mass in the upper abdomen. J Radiol Case Rep. 2013;7(11):32–7.PubMedPubMedCentral
102.
go back to reference Ladd WE. Duplications of the alimentary tract. South Med J. 1937;30:363–71.CrossRef Ladd WE. Duplications of the alimentary tract. South Med J. 1937;30:363–71.CrossRef
103.
go back to reference Ildstad ST, Tollerud DJ, Weiss RG, Ryan DP, McGowan MA, Martin LW. Duplications of the alimentary tract. Clinical characteristics, preferred treatment, and associated malformations. Ann Surg. 1988;208(2):184–9.CrossRefPubMedPubMedCentral Ildstad ST, Tollerud DJ, Weiss RG, Ryan DP, McGowan MA, Martin LW. Duplications of the alimentary tract. Clinical characteristics, preferred treatment, and associated malformations. Ann Surg. 1988;208(2):184–9.CrossRefPubMedPubMedCentral
104.
go back to reference Laje P, Flake AW, Adzick NS. Prenatal diagnosis and postnatal resection of intraabdominal enteric duplications. J Pediatr Surg. 2010;45(7):1554–8.CrossRefPubMed Laje P, Flake AW, Adzick NS. Prenatal diagnosis and postnatal resection of intraabdominal enteric duplications. J Pediatr Surg. 2010;45(7):1554–8.CrossRefPubMed
105.•
go back to reference Liu R, Adler DG. Duplication cysts: diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014;3(3):152–60. This article reviews the literature on duplication cysts and discusses the role of endoscopic ultrasound and fine needle aspiration in management. CrossRefPubMedPubMedCentral Liu R, Adler DG. Duplication cysts: diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014;3(3):152–60. This article reviews the literature on duplication cysts and discusses the role of endoscopic ultrasound and fine needle aspiration in management. CrossRefPubMedPubMedCentral
106.
107.
108.
go back to reference Karkera PJ, Bendre P, D’souza F, Ramchandra M, Nage A, Palse N. Tubular colonic duplication presenting as rectovestibular fistula. Pediatr Gastroenterol Hepatol Nutr. 2015;18(3):197–201.CrossRefPubMedPubMedCentral Karkera PJ, Bendre P, D’souza F, Ramchandra M, Nage A, Palse N. Tubular colonic duplication presenting as rectovestibular fistula. Pediatr Gastroenterol Hepatol Nutr. 2015;18(3):197–201.CrossRefPubMedPubMedCentral
109.
go back to reference Li BL, Huang X, Zheng CJ, Zhou JL, Zhao YP. Ileal duplication mimicking intestinal intussusception: a congenital condition rarely reported in adult. World J Gastroenterol. 2013;19(38):6500–4.CrossRefPubMedPubMedCentral Li BL, Huang X, Zheng CJ, Zhou JL, Zhao YP. Ileal duplication mimicking intestinal intussusception: a congenital condition rarely reported in adult. World J Gastroenterol. 2013;19(38):6500–4.CrossRefPubMedPubMedCentral
110.
go back to reference Arantes V, Nery SR, Starling SV, Albuquerque W, Alberti LR. Duodenal duplication cyst causing acute recurrent pancreatitis managed curatively by endoscopic marsuplialization. Endoscopy. 2012;44(S 02):E117-118. Arantes V, Nery SR, Starling SV, Albuquerque W, Alberti LR. Duodenal duplication cyst causing acute recurrent pancreatitis managed curatively by endoscopic marsuplialization. Endoscopy. 2012;44(S 02):E117-118.
111.
go back to reference Meier AH, Mellinger JD. Endoscopic management of a duodenal duplication cyst. J Pediatr Surg. 2012;47(11):e33–5.CrossRefPubMed Meier AH, Mellinger JD. Endoscopic management of a duodenal duplication cyst. J Pediatr Surg. 2012;47(11):e33–5.CrossRefPubMed
112.
113.
go back to reference Palacios A, De Vera M, Martinez-Escoriza JC. Prenatal sonographic findings of duodenal duplication: case report. J Clin Ultrasound. 2013;41(S 1):1–5.CrossRefPubMed Palacios A, De Vera M, Martinez-Escoriza JC. Prenatal sonographic findings of duodenal duplication: case report. J Clin Ultrasound. 2013;41(S 1):1–5.CrossRefPubMed
114.
go back to reference Vivier PH, Beurdeley M, Bachy B, Aguilella C, Ickowicz V, Lemoine F, et al. Ileal duplication. Diagn Interv Imaging. 2013;94(1):98–100. Vivier PH, Beurdeley M, Bachy B, Aguilella C, Ickowicz V, Lemoine F, et al. Ileal duplication. Diagn Interv Imaging. 2013;94(1):98–100.
115.
go back to reference Hur J, Yoon CS, Kim MJ, Kim OH. Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum. Pediatr Radiol. 2007;37(7):691–9.CrossRefPubMed Hur J, Yoon CS, Kim MJ, Kim OH. Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum. Pediatr Radiol. 2007;37(7):691–9.CrossRefPubMed
116.
go back to reference Chen JJ, Lee HC, Yeung CY, Chan WT, Jiang CB, Sheu JC. Meta-analysis: the clinical features of the duodenal duplication cyst. J Pediatr Surg. 2010;45:1598–606.CrossRefPubMed Chen JJ, Lee HC, Yeung CY, Chan WT, Jiang CB, Sheu JC. Meta-analysis: the clinical features of the duodenal duplication cyst. J Pediatr Surg. 2010;45:1598–606.CrossRefPubMed
Metadata
Title
Small Bowel Congenital Anomalies: a Review and Update
Authors
Grant Morris
Alfred Kennedy Jr.
William Cochran
Publication date
01-04-2016
Publisher
Springer US
Published in
Current Gastroenterology Reports / Issue 4/2016
Print ISSN: 1522-8037
Electronic ISSN: 1534-312X
DOI
https://doi.org/10.1007/s11894-016-0490-4

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